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1. Former Optum director sentenced to 3 years in prison for defrauding company Full story
2. No Surprises dispute volume grows 77% in one year, pushing total IDR costs past $22B Full story
3. A decade of voluntary pilots made value-based care easy to ignore. The next model isn’t voluntary. Becker’s Value-Based Care Report launches Sept. 1. Tuesdays, 9 a.m. Subscribe here.
4. Health plan underwriting losses balloon to $10.4B: Report Full story
5. 16 payers cutting jobs Full story
6. Undiagnosed OCD drives members toward higher levels of care. See how the right assessment + routing prevents it in this webinar.
7. Henry Ford Health Medicare Advantage membership surges 46%: 7 things to know Full story
8. Elevance Health to pay $15M to settle nurse overtime lawsuits Full story
9. Healthcare’s widening AI ROI gap Full story
10. 10 drug categories with the most active shortages Full story
11. 25 best metro areas for healthcare access, per Indeed Full story
12. Payment integrity leaders no longer have to trade audit quality for scale. See why here.
Becker’s Learning Opportunities
13. Reduce unnecessary utilization and prove program impact: how Highmark equips national accounts here.
14. Coordination alone won’t fix cancer costs. Evry Health’s CMO on what will here.
15. Telligen is rebuilding medical necessity review with AI and clinical oversight here.
16. Becker’s late-August webinar lineup: patient safety, referral intake, AI trust and supply chain data. See the sessions here.
Apply to attend complimentary as a guest reviewer here! Opportunity exclusive to those directly employed by a payer, payvider, accountable care organization, or clinically integrated network.
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